Individual provider Active NPI

Abigail Lynn Kessinger, PT, DPT

  • Physical Therapist
  • Eagle River, AK
National Provider Identifier
1659055705
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
210493 Issued in AK
Practice address
12001 Business Blvd Ste 179
Eagle River, AK 99577-7743
Phone
(907) 762-1201
Fax
(888) 552-1720
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 210493 AK Primary

Addresses

Primary practice location

12001 Business Blvd Ste 179
Eagle River, AK 99577-7743

Mailing address

PO Box 241889
Anchorage, AK 99524-1889
Phone (907) 563-1777

Other practice location 1

4600 Business Park Blvd Ste D-24
Anchorage, AK 99503-7142
Phone (907) 561-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
210493AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Pediatric Therapy PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1659055705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241889",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995241889",
            "telephone_number": "907-563-1777",
            "fax_number": "907-561-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 BUSINESS BLVD STE 179",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777743",
            "telephone_number": "907-762-1201",
            "fax_number": "888-552-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Business Park Blvd Ste D-24",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995037142",
            "country_code": "US",
            "telephone_number": "907-561-1478",
            "fax_number": "888-552-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSINGER",
        "first_name": "ABIGAIL",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "210493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.